Company Information Change Request

Please complete the questions below to have your company information changed in your RFMS database.

If you have any questions, please feel free to contact your Client Success Manager.
Find yours here: Our Team

Company Name:(Required)

RFMS Customer #:(Required)

This can be found in Order Entry > Utilities > Company Information > Customer Number (last field)

Your Name(Required)

First Last

Email Address(Required)

Who hosts your server?(Required)

RFMS

Isogent

Self hosted/Inhouse

Other

What would you like updated?(Required)

Select all that apply

Company Name

Company Name on Menus & Reports

Address

Phone Number

Other

New Company Name:(Required)

New Company Name on Menus & Reports:(Required)

New Address:(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

New Phone Number:(Required)

Other, please explain:(Required)

Please upload your RFMS System Information Summary:

Found within Order Entry > Utilities tab > System Information > screenshot/snip the window that pops up.

Max. file size: 25 MB.

Signature(Required)

By signing you authorize RFMS to make the requested changes to your RFMS database.

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